# COMMUNITY ELDERCARE SAN DIEGO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Paul's PACE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386987915
- **Authorized official:** MRS. AMANDA JOY GOIS (MARKETING DIRECTOR)
- **Authorized official phone:** (619) 677-3800

## Contact information

- **Practice address:** 111 ELM ST, SAN DIEGO, CA 92101-2692
- **Practice address phone:** (619) 677-3800
- **Practice address fax:** (619) 781-8186
- **Mailing address:** 111 ELM ST, SAN DIEGO, CA 92101-2692
- **Mailing address phone:** (619) 677-3800
- **Mailing address fax:** (619) 781-8186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 550001964 | CA | Yes |
| 305R00000X | Preferred Provider Organization | — | CA | — |

## Other

- **Enumeration date:** 04/02/2013
- **Last updated:** 04/02/2013